HomeMy WebLinkAboutBuilding Permit 03-1078
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
7_18. tJ3
I. White File
2 Pink City
3. Yellow Applicant
I PERMIT NO. (E - /tJ7fj I
(Please .!VP~ or print and sign at bottom)
ADDRESS "'i'\
5tfOk, ~~.{iJuL e.udiJ CG.
,
ZONING (office u"j
I?-z...
LEGAL DESCRIPTION (office use only)
LOT/0 BLOCK ADDITIOJ)oorPiA& 9-oJ
PID 25. 40(). 6/~. 0
OWNER
(Name)
(Phone)
(Address)
BUILDER--;---. ~ .-,-..
(Namel- .1;. -,' 'Tt71:1i-&-c.- I",,. .
(Contact Name) ~ _ r--r\cb;J/n
(Address) '1.0fllnO I ('"(d.~ (f. .~+e. iOt.)
l-UA./1 I t _ All "-v Ci?D 1/..,
(Phone) ~ 9~~~
(Phone) qs;7:77{n- (:::<,W
TYPE OF WORK
.RJNew Construction
DDeck
DPorch
ORe. Roofing
ORe-Siding
DLower Level Finish
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $ 1\ 5. t1 ~ 1
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
SUb~ns I aM aware that the buildmg official can revoke thIS penmt for JUst cause Furthermore, I hereby agree that the CIty officIal or a deSIgnee may
ente up the property to per~em ~d ~sp~ons.
X . /lAP J.-J~ I n'h..t/z.- !l(J.flO~5:7 7-1'1--0:1,
- SIgnature Contractor's License No Date
I Permit Valuation 'lf11l{1.o00.tJd I I Park Support Fee # $ ~o, eM
I Permit Fee $ Ibf3.3s1 I SAC # $ 12.15.00
I Plan Check Fee $ 70<f, If' I I Water Meter ~ze5~ I"; $ d-5a. QCl
I State Surcharge $ &00 I I Pressure Reducer $ 45,00
I Penalty $ I City SAC and WAC # $ IZOo, 00
I Plumbing Permit Fee $ /OO.C)O I Water Tower Fee # $ 7tJd." 0
I Mechanical Permit Fee $ !D{).OlJ Builder's Deposit $
I Sewer & Water Permit Fee $ J''5'. S-O Other $
I Gas Fireplace Permit Fee $ 4t;, 0 (J I TOTAL DUE $ c,. #1. 03
This Application Becomes Your Building Permit When Approved I Paid 6- 4'r/. OJ Reced: ~o. &fJ c:t,V
~ 7~JJ ?h/IJ:J I Date Y./J.~l Bv JY'-
()
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~7d~
Planning Director
i/7/93
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
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Job Address
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IIlhihv,.. APJ/
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7,' i :!J
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Heating Contractor
Name atTester
Date
Percent 02
Percent CO
Percent C02
Slack Temp
Combustion air is adequately supplied per
UMC Sec. 606 ~
input ~ ~T.;.)
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While - Building
Canary - En\l.ineering
~lnK - I"'lak1nm~
ThO' ("tn'... of lh..l...... ('ounU')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;, {. ,Ic./ /-k'! 1J~11 ./
'7 If C
.. ,._~........
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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/r 4.. ~:) / /1. ( ".1 / I (
_/ ~ __/ V ;,,,.j(.., ~_)--,.c i \ .- '-_' (. ( l (' .... (.-/
Accepted
//
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,
/
/
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Reviewed By: ~
v
Accepted With Corrections
Denied
-
t-~
Date:
R/'l1a3
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Comments:
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
I
f~
~~
,/White - Building::::::,
Canary . Engme"ring
Pink - Planning
-
Th~ C~nlu of lh.. I,.h Counlf'}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.,.47. R MnT/J7'/ /
7/8. Q3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction a tivity which is proposed at:
54-36 . ~.L/
Accepted
/"
Accepted With Corrections
Denied
~
Reviewed By:
~
:;.ruef;J
Date: f(7 ~3
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~ tf rf\APJ r~W2
Tht('tnluotlht l..k.. C(lunlry
W.hitl!_. - !3uilding
L l,.;anarv - ~nqlnll!l:!llI.~
--Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
(1v ... ,<
I if i ./ " -
" /("" I /P'~l' -?,-",- /
/\J;. . ',-. I'7C Jf I c."
/ I y ('7
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction .<3.9tivity which is proposed at: / .
."c"/.L-.'~/.., 1"/'//' ,",r' i 1'1 ..,/r
...,/ '"7 '-" (,<. ,.)1.-"< 'e. L,.o--C.<'...'<;". ,;:\__...... l j l.. LeA ;,_----"
(./
Accepted
><
Accepted With Corrections
Denied
-
~~~..~
Date: I !~ljff)
Reviewed By:
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
j'l!i8 ~0011:4QPM
GEN2 RVAN PLUMBING AND HEATING
1,1 I": "7 C ~
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P, 8 18
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CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
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I ""'" <,1. I PERMIT NO ".~.- " .
.t Yd'w Ci~ .. . :'.,~I
'c~" ."Iian, 03-10713"'['"
Date Ree'd
I '
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il./. '
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(Fle.,'ue ~ orpnnt.md31:!D.atbouom)
ADDRESS
_ 7-fw ~R-hwt
r!i:1<- ~ z...
I ZONING (Qffii,~""~:;~,.::,,, .
LEGAL DESCRIPTION (offico u,. only)
LOT IlPBLOCK I ADDITION f1r.L1?he..l~ 'lfh.
PID
OWNER
'Name) DF l'ongg '''nom llg.....
(phone) _ Or62-Q85-18r:,1\
:Address)
20&,,0 ~10i<..\t:6e Cr s"".I{j{,\
(Ad';"',,)
La~\Ill1e....
(City)
0~LJ
(Zip Codo)
\PPLICANT
O'~e) Genz-Ryan Plumbing & Heating
(Phono)
651-423-1144
Address) 14745 So Robert Trail Rosemount, }IN
G"ddt..,,) L. (City)
ConuClPerson). ~/I) l€is't/ la/Is (phone)
..ICA.J."ITSIGNATURE r:11f~Mh) ~YI DATE
55068
(Zip Code)
651-423-1144
i-If' -0(2)
APPLICANT PLEASE COM:PLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
feet.
o Cast Iron
eSldenrial sewer and water line cannectJ.on
ower cODllection only
FEESCI:lEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost wIth a $39.50 In.IDlroum
$1750 Waterconnectiouonly $J7.50
Est:u:nated Cost $
Building Permit #
SE'WER AND W MER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
c.flAID WITH
_DING PERMIT
.t
ilic.eU~cOnly)
Iluildillg OfJicisJ
Dm
~IT8~.tlliJ ~' ..'1'~1 Recoipt No.
,. ip:rt!UG- 1 8 2003 By
JU .J
1
I
rbis AppliC>l.tion Become! Your Building Permit When Appraved
2:J h.our Bortee: for sllinspecttollS (952) 44 7- 1850, fax (952) 447-4245
By
! ,,! :1, : G 0 1 i: 40PM
GEN2 RVAN PLUMBiNG AND HEATING
N1 : ; 61 P 1 i ~1
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
, '
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i/.:
.#[.
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:~',;.:::i;,,~dl"
~,J5t,z:j;
I PERMI, T No.~~':"" . I
. ~/irJ31 o1b
1 B-l<ut F;I.
:, Gold City
J. Y~lcw Appl,,':W
-
(P1ea.~e me Of onnt and Sl1'J1 at boaom)
I ADDRESS .
1]!-fblfl 1kR---h &(cl
LEGAl. DESCRIPTION (olliee use oDly)
LOT ) f(JBLOCK I ADDmON !let /J2.f/I.{ (l / 1-fr..-
OWNER
(Name) DR Horton Custom Homes
(Addre.s)
{;ck J2:
ZONJNG (afliCl;llJ.!lej .
PID
(phone)
'fS2-Ql?Fi-72M
2C'SloD V..b1B~l pEe.. C. Sre IDO
Lcduy,lk.. i-t-IN 5C6LlL/
APPUCANT
(Name)J',.......'?-t)~........ '01.....)..-I....g (. U~of'"'i':
~~~s) 14745 So Robert Trail
(A ddress)
(Contact Person) {;,'Vl fQA s-h k. u (,.
APPLICANT SIGNATURE r j \" ,:5')
Quantity
"J-
I
!
3
d:?
(phone) < < 1-/, ~ 'L 1 1 1'/,
Rosemount
(City)
(Phone)
MN
55068
(Zip Code)
651-423-1144
_fi:t ,) I/)
'1- Iff -11~
DATE
APPLlCAi'IT PLEASE COMl'LETE BELOW
I Type of Fixture QU3!!tity
Bath Tub with or without shower .::J Rough-ins
Dishwasher I . Water Heater
Floor Drain 12,;: Water Softner
La.vatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartmeot sink Sewage Ejector
Shower Stall BackiIow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn SprinkJer
Water Closet (Toilet) Other
Type of Fixture
FEE SCJ:Lj';uULE
Industrial, Comnlercial & Mult1~famIly 1 % ofjob cost with a 5:39.50 minimum Resldent1al, New One & Two.Pamiiy $99.50
Residential, Addition, & Alteration> $39 50
(Offit.e:U.!lcOnl).)
Esumated Cost 3:
Building Penn)t #
PAID WITH
BUILDING PERMIT
PLUMBING PERMIT FEE $
STATE SlJRCHARGE $
TOTAL PERMIT FEE $
.50
Building Official
Due
I ~~ [Q; ~ IJ iJJ 11;" \feCelptNo.
I ~ateAU G 1 8 2003 1 ~y
This Application Becomes Your Building Permit When Approved
I ..
24 hour notice for aU inspecttons (952) 447-9 ISO, fax (952) 447-4245
.By
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
q'lease.~ or print and sim at bottom)
ADDRESS
4?/:?C::: /J~/ h// e//,~
LEGAL DESCRIPTION (office use only)
. LOT/6BLOCK / ADDITION
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT A, /. A
(Name) /7'///4:.......,1.. ':.J'/'1A4../"-./
(Address)~ ~~~I~ ~
(Addre~
(Contact Person) A ev'~~~~
APPLICANT SIGNATURE ~4-- - -__
Date Rec'd
r/29~
l~:w E!~i~' I PERMIT NO'03-'I078 I
ZONING (office use)
~-
PID
(phone)
(phone)' &'5/.. 4'f'?-"???$"
e~~ ,5'""5"~-:I
( , (Zip Code)
(phone) ~/- if~--177S
DATE
. , APPLICANT PLEASE COMPLETE BELOW
~NEWCO~TRUCTION 0 REPLACEMENT DALTERATI<?NS ~
FURNACEMAKEANDMOD~/r'-.J~ :?/a,4A~ FUEL,,( :.4-.J~.(
FLUE SIZE""'~.Az~.A RETURN OPENINGS 4 INPUT &~ ~ OUTPUT 6Z~ ~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Planls
DGravity
o Mechanical
~ir Conditioning
~ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach intb
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
$39.50
Estimated Cost $ ~a::>Buildingpennit # 9l\OW\TH M\T
$~//~//~NG PER
$ ~ .50
$ '?
(Office Use Only)
This Application Becomes Your Building Permit When Approved ~\ r ~~G~ ~ ~o~ 'lJ\ ::ceiPt No.
Building OfficIal Date IIJl AU
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
24 hour notice for all inspections (952) 44' -9850, fax (952) 447-4245
,By__
FIRESIDE CORNER
#4087 P.004/007
CITY OF P
HEATING/AIR CONDITIO
OR LAKE
GIFIREPLACE PERMIT
Dale Rcc'd
lPlea.w 'Y.fC or mAr an' am at 1:totlom) . _. n_ _
ADDIU":.SS HEARTH&HOME'.
5436 DEERFIELD CIRCLE S.E.
FIRESIDFF
3:',.." I PERMJTNO.3 -I07f I
ZONING (office u..)
LF..GAT. DESCRIPTION (omce u.. only)
LOT
BLOCK
ADDITION
PID
OWNER.
(Name DR HORTON
(phone)
(Address)
APPLICANT
(Name) AT r lED EIRF.SmF. DRA FlRI'STDF.)-lF'AR1J-l & liQME
(Phone)
6S1.n.1J.2.S/il
(Address)
'.700 NORTH FAIR VIEW A VENUE
(Add,..,,,)
ROSEVILLF
(City)
<;5113_
(Zip Codc)
(Conr<l.ct Person)
~RENDA HUSTON
(Phone) _651.633-2561
APPLJCANT SIGNATURE
BRFNDA HUSTON
DATE
10/8/03
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 AI. TERA nONS
FURNACE MAKE AND MODEL FUEL
FT.UE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POW:ER PLANT
OWIlnll Air PI.ntJ
OGrav Hy
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Ho~ Water
o Radiation
o Speci.1 Deviet$
o Other Device.
PJ-EASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yord
Setbacks
FIREPLACE MAKE AND MODEL
H.M:LJ:!! GLO 51? 750TR-C
Estimated COSI $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
FEE SCHEDIJJ,E l">AID WITH
1% of job cost R.,idenl,i,r, G.. Fircplfl.c r, PERMIT $39.50
$39.50 minimlJm BUILDING
$99.50 Residential. Additions & Allcrnlions ~,,;"-~:;-:: -'$39i~O, :"'-"--,::c'l
$64.50 Resldenti.l. AC Only 'I n \ I," r ~.. It39[~O\,! !: '[', '"
u! L':J \~.) [:1;; -' u U ' i(
i 1[lj
UU OCT 0 8 Z003 .~'
Building P.rmi~ /I
$
$
$
.50
fndusrrinl, Commercinl &. MulTJ-Family
Rc,idenli,l, Heoting & NC (New Con'lf1Jclion)
Re<idcn'i,J, lic3ring Only (Ncw Construction)
By
tOrr.,. I).. Only)
This Application Becomes YOllr Building J;f'lJlJ/;~''/NflJf1>>llSOj'li!1tn, 1(J~l.ajfhrnrl I Receipt No.
L~lIf !luilde" Divi.ti( . I Dme I By /I .
~ Ilulldlne OI'!!"OO Fairview Avenue North Ro~~tlle, MN 55113 I '/100' (,~ 1-t\11-U!i.LB" ('~1~11-RRR4 ( Pr '
nu..."'" c....., 3850 West Hi~hwoY 13 J3urnsvI'I/c, MN 55337 Phone 952-890.-07~8 Fax 952-890-5408
'2'nout anrle> ro, a' up,ctlon. (9S2) 447-9850, fax [952,447-4145
WW\\'.Ilruld~J1sa.c()m MN ('lInfrlC!(lr l.k~II" II 211/WOlll J
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 5i.J 3' j)c,l:K..R,L1j tilUJ1E
NATURE OF WORK - N€W C.~e:n~
USE OF BUILDING ~: ,.:A · - 4
PERMIT NO. _ CJ~-/Q2f3 DATE ISSUED fiJ., I~.:J
CONTRACTOR ~. ltoJd',,J~. PHONEtii- z.zc.-./11"1
NOTE: THIS IS NOT A PERMIT FOR'ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
i/IIlI-I
ryp -
f/L1//
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
. .
0ee '/#:;,J-t h Y'e..
~ /.yf/r
~# J.$'.()~
fD-I{,-~
t()-2A-A
vw
~
~
J()- / 3-[/)
10- ((,.t/]
{n-II.. tfS
GRADING (Prior to Sodding)
BUILDING 1 {vf tJ,,\,l q-11l"
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
t/V1/
~
11- J,S-ff}
t-I- ). {-o. I
,
SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
@rrfifirab of @rrupanq!
CITY OF PRIOR LAKE
. @rparfmrnt of 'liuilMng Jlnsprdion
h Final Permitted D Conditional e.O. Expires _
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Use Classification
Occupancy Type R3
SINGLE FAXILY
Bldg.PermitNo._ 03-1078
Fire Zone N / A Zoning District R2
Legal Description
Type Construction VN
116, Bl, DEERFIELD 9TH
Owner of Buildinp:
S;teAddress 5436 DEERFIELD CIRCLE S. E-,
20860 KEN BRIDGE CT., SUITE 100, LAKEVILLE
Contractor's Name & Addrg, R. HORTON :_lfy"
ROBERT D. HUTCHINS~~
Date: /0 fiPg Official
,
_ City Planner_
DON RYE
Date:
>.
..
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
SYJ'6
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS:
~
/ /
( eke
"------
DATE nME
SCHEDULED ~~~~
Llecyj):e// CJ-
CONTR.
PERMIT NO.
d?-/o/r
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
~
~k )
-----
rVWORK SATISFACTORY. PROCEED
Ic; ~ORRECT ACTION AND PROCEED
o CORRECT WORK./~;;~EINSPECTION BEFORE COVERING
Inspector: ./' ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIiOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
g.;1 C,
O~h-r/~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Jrl'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
J(MECH FINAL
COMMENTS:
DATE TIME
f.j- )-/'(/1-(
3-(078'
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~w), I'f~-+ d<......'/ -1- a dc-U/oif
. PM! flir(l."k a./?Prvva /
Sed ..f 7 YY'('5 ~ du",ldJ~,-f--
T~""V (/..1+((
<f -(-of-{
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT W~RK, ~ FOR REINSPECTlON BEFORE COVERING
Inspector: V W Owner/Contr: _
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(j) (r.U4tJl~
DATE TIME
SCHEDULED
//- 2c-cR
. -
S"'41J.C,
D...~!d t".;..
CONTR.
PERMIT NO.
~-I071Y
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
. PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
a;daaf;;
o )lI'>RK SATISFACTORY, PROCEED
';CORRECT ACTION AND PROCEED
o CORRECT,W~R~L FOR REINSPECTlON BEFORE COVERING
Inspector: -1LJL...! OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""